Organization · Type 2 NPI

State of Mississippi-University of Mississippi Medical Center

Prosthetic/Orthotic Supplier · Jackson, MS

NPI number 1255768180 Active

Practice location

2500 North State Street
Jackson, MS 39216

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000XNone listed

Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

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About NPI 1255768180

State of Mississippi-University of Mississippi Medical Center's National Provider Identifier is 1255768180, issued on Oct 10, 2013. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Jackson, MS. The record was last updated on Oct 10, 2013.